in the Sarthe, an emergency paramedical team intervenes in addition to the Smur and the Samu

At the end of an emergency corridor in the Château-du-Loir hospital is the premises of the paramedical emergency medicine team (EPMU). That day, it was Nathalie Pichon, an ambulance nurse, who welcomed us. His role: to take the nurse to the scene and work with him.

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Nathalie teams up with Cyril Barbeyrol, nurse. Like them, there is a duo on deck every day, another at night. In all, there are about fifteen to intervene in their area. “We are within a radius of 25 minutes in the south-east of the Sarthe department”, explains Cyril. A tight radius to intervene quickly, where the medical teams of the Smur (mobile emergency and resuscitation structure) based in Le Mans take time to arrive. “If it is necessary to intervene on a cardiac arrest quickly, near Château-du-Loir, the teams of Le Mans have on average 40 minutes of roadexplains the nurse. If we intervene within a quarter of an hour, we still have a latency of 25 minutes. During these 25 minutes, we have the possibility of initiating therapies. It is necessarily the chances of survival that are much greater.”

This device, in experimentation, is part of the recommendations of the “flash mission” on the emergencies of the Minister of Health François Braun, mission which he returned before entering the government. In Sarthe, nearly 40% of the population lives more than 30 minutes from an emergency service.

On leaving the emergency room, the pair find their intervention vehicle. Inside, two bags: “We have a multiparameter which will allow us to take the constants for the patients, to make electrocardiogram tracings transmitted directly to the post of the regulating doctor.” The latter then sees live what the nurses are doing, “which will allow him to be able to give us additional instructions.”

This team does not replace the doctors, it is there to intervene in cases of vital emergency defined precisely in support of the Smur.

“They are under the control of the Samu regulating doctor to act with maximum sense, logic and efficiency for the patient.”

Corinne Cordier, healthcare manager at the Château-du-Loir hospital

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Over a year, the team intervened a little more than once a day on average. Two other identical devices have been set up in the department. “After a year, the PMI teams are often called upon by the firefighters on site to provide analgesiawelcomes Florence de Simon de Bièvre, head of the Samu de la Sarthe. We can clearly see that today this is part of a territorial logic, that it is essential and that there is no question of going back. Especially since emergencies are more and more often closed and it is necessary to have a quality local response.

In the Sarthe, the device also exists in Saint-Calais, and soon in Bailleul. Other departments, such as Vendée or Indre-et-Loire, are taking a close interest in it. On average, 30 to 40% of the population lives beyond the response time of an Smur, which is 30 minutes.